question with a notable scientific and cultural openness that embraces either the psychoanalytic approach (classical, modern andintersubjective), and the neurophysiological assumptions and both clinical research and cognitive hypotheses. The utility of dream - inthe clinical work with patients - is supported by the author with extensive bibliographic references and personal clinical insights, drawnfrom his experience as a psychotherapist. Results: From an analysis of recent literature on this topic, the dream assumes a very differentfunction and position in the clinical practice: from ‘via regiato the unconscious’ of Freudian theories - an expression of repressedinfantile wishes of libidinal or aggressive drive nature - it becomes the very fulcrum of the analysis, a fundamental capacity to be de-veloped, a necessary and decisive element for the patient’s transformation. The dream can also be use with the function of thinking andmentalization, of problem solving, of adaptation, as well as an indicator of the relationship with the therapist in the analytic dialogue orof dissociated aspects of the self. Finally, the author proposes a challenging reading of the clinical relevance of dream: through listeningto the dream, the clinician can help the patient to stand in the spacesof his own self in a more open and fluid way and therefore to knowhimself better, to regulate his affects, to think and to integrate oneself